Failed one hour glucose test. Do I have the option to opt out of the 3 hour test?

[Anonymous]

PP- it is possible that you will pass the one hour test, but if you fail it and your number is close to 130, I would suggest asking to take it again and then skip breakfast that morning. When you get your results, talk to your doctor and tell them what you ate.

[Anonymous]

Thank you, PP! I kind of feel like an idiot, I should have known better.... and I usually check labels, this time didn't, but who would have thought that my bowl of new cereal plus the milk is more glucose than that drink and I got more than double the load! 35+24+50... grrr.

[Anonymous]

I was just told I failed sugar test I'm 26 weeks pregnant and don't want to do the three hour test. I would like to take one hour over

[Anonymous]

For those worried about breakfast, it doesn't really matter what you ate before thetest if it was more than 2 hours beforehand. If you ate lunch and took the 1-hour test in mid or late afternoon, then it should be fine.

For those saying that GD is a diagnosis in search of a problem, well, Henci Goer wrote that ten years ago. The HAPO study came out recently and found a sliding scale of complications related to blood sugar. The diet is all that most women need for an intervention, and has benefits for mother and baby.

The fear of unnecessary treatment seems overblown to me -- if you're diet-controlled (not taking insulin, metformin, etc.), the doctors/ midwives treat you the same as others without GD.

[Anonymous]

Anonymous wrote:

If you filed the 1hr test, you're considered to have 'glucose intolerance', so you'll need to make changes to your diet anyway.

Not true with all OBs. I failed the 1 hr text (by the new lower cut off) but passed the 3 hr. They have not had me make any changes to diet.

This was me as well. I ate lunch (sandwich! carbs!) right before the 1-hour test and got a 139, but passed the 3-hour with flying colors. OP, don't try to game the test. Either do the blood draws throughout pregnancy, retake the 1-hour test or take the 3-hour test. It's in the best interest of your child.

[Anonymous]

I failed the 1 hour screen with my 2nd pregnancy, but passed the 3 hour. They made me do the 1 hour early in the third pregnancy because of AMA and family history. I barely passed at 16 weeks and opted just to go straight to the 3 hour for the one at 24 (26?) weeks. I passed.

[Anonymous]

Anonymous wrote:For those worried about breakfast, it doesn't really matter what you ate before thetest if it was more than 2 hours beforehand. If you ate lunch and took the 1-hour test in mid or late afternoon, then it should be fine.

For those saying that GD is a diagnosis in search of a problem, well, Henci Goer wrote that ten years ago. The HAPO study came out recently and found a sliding scale of complications related to blood sugar. The diet is all that most women need for an intervention, and has benefits for mother and baby.

The fear of unnecessary treatment seems overblown to me -- if you're diet-controlled (not taking insulin, metformin, etc.), the doctors/ midwives treat you the same as others without GD.

link please?

[Anonymous]

This 50gm sugar is so unnatural. I have a very low sugar diet and my post prandial glucose in the past has been under 100. Is it possible to convince to OB to just let me do a couple of simple post prandial tests and opt out of 1hr. They will still get the data they need and it will confirm I am not GD. Anyone try that?

[Anonymous]

I think we were all so much in the habit of wanting to pass tests no matter what, even through "cramming", when we're in school, that it can be hard to get out of that mindset and look for an honest result on a medical test (although I might just be thinking that because I'm a teacher, so I see my students do it all the time!)

OP, is there someone who you can bring with you to the 3-hour test (partner, mom, friend) who would make it less stressful for you? Also, I second the poster who said to make sure the nurses at the testing place are aware of your tendency to black out when fasting.

[Anonymous]

Anonymous wrote:This 50gm sugar is so unnatural. I have a very low sugar diet and my post prandial glucose in the past has been under 100. Is it possible to convince to OB to just let me do a couple of simple post prandial tests and opt out of 1hr. They will still get the data they need and it will confirm I am not GD. Anyone try that?

Same for me, and I'm the one whose OB refused to use several post-prandial tests in lieu of the artificially high sugar load. I would never put such poison into my body NOT pregnant, I sure as hell was not willing to do so pregnant. Worse, that sugar is glucola, from corn, one of the highest GMO products in the country (if you care about that, and I do). OB gave me a hard time about it 5 years ago, but I refused to take the test. He said if I refused we'd just have to proceed as though I had GD. I said fine, he did a few additional blood draws and a late term ultrasound, and my baby was born absolutely healthy, with no problems, at 6.5 lbs at 41 weeks 4 days.

[Anonymous]

Has anyone had success convincing OB to skip the test due to corn allergies since the glucose solution is corn-based?

[Anonymous]

If you fail the 1 hour, can you just agree to act as though you have GD and do the blood draws, diet changes, etc.? Or do you need the 3 hour diagnosis to have it for insurance (to be classified high risk, for example)?